HomeMy WebLinkAboutTURNAGAIN BLK 3 LT 2Sic,
~--AMUNICIPALITY OF ANCHORAGE ,~_~
Hea'~, la and Environmental Prote( !on
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
EROM WELL k/~
INSIDE LENGTH
.~ .'~. ./~ ~] _ ,~ iN]UMBER OF
INSIDE WIDTII LIQUID DEPTH LIQUID CAPACITY/<~. ALLONS.
~l~),~'O ~ / TOTAL LENGTH
DISTANCE BETWEEN LINES _~ ~/~ TRENCH WIDTH~ IN, TOTAL EFFECTIVE
ABSORPTION AREA___~_ SQ. FT. LENGTH OF EACH LINE ~ /
/ DEPTII OF FILTER ;~
DEPTII: TOP OF TILE TO PINISIt GRADE .._~ ' ._.MATERIAL BENEATH TILE .~ _IN. ABOVE TILE _~_ ~
SEEPAGE PI'r:
DIAMETER -- OR WIDTH ..... LENGTH___, DEPTH
Log.__ Crib Rings/CRIB SIZE:
BUILDING FOUNDATION NEAREST LOT
DIAMETER ..... DEPTlt____ DISTANCE EROM: WELL ..
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ,SQ. FT.
Class.~. Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials:
# of Bedrooms:
Installer: d~ ~ ~-
Remarks:
F'ERMIT NO. ( .... "~
FFL] _.Hr4T
LOCFIT 1 ON -
LEGFtL
_,Fill ~ M_,LUNI
E,R_HD[' '" - 'l..I.=,~MHl~.'r'- " "' R',¢'E
L 2 B-... ~ TURNRGFIIN SD
SRFl E,O,.,
LOT SITZE
2:44700~:
2L4000 SQIJRRE FEET
T'¢PE OF =,CIL FlE:SORBTION bT_,TEM IS: FREN_.H
MFIXIMUM NI_IMBER OF BEDROOMS
SOIL RATING c'SQ FTzE, R .... :3~
THE REC!IJIRED bI~E OF THE SOIL FIBSORPTII]N _,9¢TEfl IS:
[)EF'I-H= :.1_± L E I'-.!12~ T H = :'L '--'--~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DF.'.FIINFIELD.
THE DEPTH CIF R TRENCH OR. PIT IS THE DISTFlNCE BETWEEN '/HE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCFIVRTION KIN FEEl").
THERE IS NO SET WIDTH FOR I'RENCHES.
THE GRFlVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFFILL PIPE
FIND THE BOTTOM OF THE E×CRVFITION (IN FEET).
E:Ei~;~J .T. RED . :--_;EF"'T I C: TRNI<: S I ZE=
PRI]i--'.R,3E F'LR['-.I]- OP'T I Cut'-,I
ta PFIC:KRGE PLFINT MFl¥ BE INSTFlLLED FIT THE PERHITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
:t. EITHER tR CLFlSS I OR ti NSF FIPPRO'v'ED PLFINT MFlY BE INSTFlLLED.
;2'..FI CONTINUOUS HRINTENRNCE RGREEMENT IS REQUIRED. IF FI MFIINTENFINOE
AGREEMENT IS NOT KEPT CURRENT k'OU MFl¥ BE REF4UIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM FIND/OR YOU MFI'¢ BE SUBJECT TO PROSECUTION.
BHL.[,FILLIN.~ OF FlN¥ _,T_TEM WITHOUT FINAL INSPEC:TION FIND FIF'F'ROVRL E,T '['HIS
DEPFlRTNENT [,]IL..[. 6E ~U6JEL. T TO PROSECUTION.
NINIMLIM DISTFINCE BETWEEN R WELL. RND AN9 ON-SITE SEWFlGE DISF'OSRL SgSTEM IS
i00 FEET FOR R PRIVFITE WELL OR 200 FEET FOR R PUBLIC WELL..
WELL. LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPFlRTMENT WITHIN 30 DAMS
OF THE WELL. COMPLETION.
OTHER REQUIREMENTS MFlY FlPPLY. SPECIFICFlTIONS FIND CONSTRUCTION DIFIGRRMS ARE
FIVRILRBLE TO INSURE PROPER INSTFILLRTION.
. - .-~ L]~ ~1_ .. dL _-
F'EF:~-I ][ T E:=-~.F" .l: F._E_ [)E,:]E~-IBER '
I CERTIF'¢ THAT
i: I FlM FFIMILIFIR WITH THE REC!UIREMENTS FOR ON-SITE SEWERS laND WELLS FlS SET
FORTH B'¢ ]'HE MUNICIPFIL. IT¥ OF FtNCHORFIGE.
2: I WILL INSTALL THE SYSTEM IN FICCORDRNCE WITH THE CODES.
$: I UNDERSTAND THFlT THE ON-SITE SEWER ~YSTEM MR'~ REQUIRE ENLARGEMENT IF THE
RESIDENI]:E IS ~:EMOE:,ELED TO INmZ:LI_IDE MI]IRE THAN 3: E:EDROOMS.
.- ~¢'PL. IC:RNT SAM '¢R.SC:ONI
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99002 276-2224
SOILS LOG - PERCOLATION TEST
ySOILS LOG
[] PERCOLATION
TEST
PEREOR~O ~oR: ~h~Y~
2
10-
11-
SLOPE
WASGROUND WATER
ENCOUNTERED?
12
13
14
15
16
17
18
19
20
DATE PE.FO.MEO: "'7-- 5o - '7 -7
SITE PLAN
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN ~ETWEEN '~"~ FT AND ~" , FT .-*
72-008 (7/'76)